Physician Assistant- Case Management

The incumbent will work closely with Anesthesia to help streamline patient flow from Surgeon to the operating room. The Midlevel will function as an advocate for both the patient and Surgeon, and provide a more effective and efficient surgical patient experience.

Orders and interprets of laboratory, radiographic, and other diagnostic tests.

Reviews co-morbidities and consults with patient's Surgical Service physicians, Primary Care provider, Anesthesia Service, or other VA or non-VA physicians or services to obtain medical clearance for surgery.

Works with OR personnel to schedule patients for surgery and coordinate proper instrumentation.

Establishes a plan of care to achieve identified medical and health goals. Prescribes (and administers) medications which include controlled substances per licensure and in accordance with Federal and State laws.

Provides education and counseling to patients and family regarding pre-and postoperative care.

Acts as point of contact for patient throughout pre- and post- surgical process.

Acts as both Patient and Surgeon advocate, advancing the goal of excellent patient care.

May Provide call coverage, whether during working hours or during non-business times per set call schedule.

Work Schedule: Monday through Friday; 8:00 to 4:30 or as agreed upon with the possibility of extended hours and weekends. NOTE: Candidates must be willing to work weekends, irregular work hours and extended hours.

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

Education: Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and A Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education. (COPY OF TRANSCRIPTS MUST BE SUBMITTED.)

Certification: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA. (COPY OF CERTIFICATION MUST BE SUBMITTED.)

Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5.

If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment.

Proficiency in spoken and written English.

Physical requirements outlined below.

Preferred Experience:

Grade Requirements: In addition to the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade for appointment or promotion eligibility. Requirements for appointment or promotion to a specific grade are based on the candidate's ability to demonstrate the elements described.

Full Grade. In addition to meeting the basic requirements listed above, you must meet all the following requirements:

Intermediate Grade. In addition to meeting the basic requirements listed above, you must meet all requirements described above for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to

Intermediate Grade. will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements:

Experience / Education. 1 year of professional practice as a PA; or

Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or

A Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education.

Clinical Competencies - Clinical Proficiency

1. Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade.

2. Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade.

3. Practices with a higher degree of autonomy and seeks guidance from the assigned physician less frequently than expected of the previous grade.

4. Evaluates the delivery system of patient care within the area of assignment, presents findings and recommendations, and contributes to changes that enhance the quality and timeliness of care.

Senior Grade. In addition to meeting the basic requirements listed above, you must meet all requirements described above for the Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment.

Experience / Education.3 years of professional practice as a PA; or

2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or

2 years of professional practice as a PA and a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; or

A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education.

Clinical Competencies - Clinical Proficiency

1. Manages patients with complex or multi-system medical problems.

2. Practices with a significant degree of autonomy and seeks guidance from assigned physicians with less frequency than expected at the previous grade.

3. Performs more complex diagnostic and therapeutic procedures beyond what is expected at the previous grade.

4. First or second assists in surgical procedures.

Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The positions requires the PA to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to protect him/herself from physically abusive patients. Non-business hour call may be required. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

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